Injury Line: L V J Inc.
| Inspection Nr | 119513240 |
| Investigation Nr | 888388 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Multiple |
| Source of Injury | Boxes/Barrels, Etc. |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Carpenters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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